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Home My WebLink AboutBRN2009-00056 - BRN Permit - 2/5/2010 BURN PERMIT Mason County Dept. of Community Development PO BOX 186 - 426 W Cedar St, Shelton WA 98584 - 360.427.9670 BR N 2009 =00 056 Issue Date Expiration Date Site Address: 8371 E STATE ROUTE 106 UNION 322353200130 35 22 3 6 Parcel Number Section Township Range Fire District Applicant: DAVE KAMIN Address: 5100 SE COLE RD SHELTON WA 98584 Contact Number(s) - Must be a 24 hour number Conditions: 1. Valid permit must be on-site while burning. 2. The following materials may not be burned: Garbage, dead animals, asphalt, petroleum products, paints, rubber products, plastics, paper, cardboard, treated wood, construction / demolition debris, metal or any substance (other than natural vegetation) that normally releases toxic emissions, dense smoke or obnoxious odors when burned. 3. All material must originate from the property on which the burning is to occur. 4. The fire must not create a nuisance from smoke, obscure visibility on public roads and highways or endanger life and property. 5. The maximum pile size is twenty (20) feet in diameter, with a minimum ten (10) feet firebreak around each pile. 6. Each pile must be at least one hundred (100) feet from any structure and at least fifty (50) feet from standing timber. 7. Do not burn if wind is blowing more than seven (7) MPH. 8. Do not burn if wind is blowing from direction. 9. The minimum people required to be in attendance at the fire while burning: 1 10. On site water required? 11. Provide excavator / dozer with a fire extinguisher at the site with a qualified operator. 12. Provide a 24-hour fire watch. 13. Fire must be completely extinguished within three (3) days after ignition. 14. Fan is required. 15. Other: Fire Warden: Signature Date **YOU MUST CALL (360) 427-7761 EVERY MORNING TO REPORT IN** BRN2009-00056 `► PERMIT NO. MASON COUNTY BURN PERMIT APPLICATION 426 W. Cedar• P.O. Box 186, Shelton, WA 98584 Shelton (360) 427-9670 • Belfair(360) 275-4467 • Elma (360) 482-5269 •www.co.mason.wa.us APPLICANT INFORM TION CONTRACTOR INFOF�MATION ,"�� Owner Company Name 4G��.�� fLCrr itX -Lcrz/ ��C Mailing Address 6To ` �� Mailing Address �l/4 2¢r// City 1V Stater_ Zip Code A�Mf City v State L,24, Zip Code LIM, Phone Other Ph. 22'3 e 6 7 6 Phone 2-3f Other Ph. Lien/Title Holder �, °ti• •� Contractor Reg. #1 � ��^��Exp. �`YJe u! ) E mail Address r E Mail Address .�i4Jr_`.'/�we.V eXC4fic•.l Drivers Lic.#,<A6:. I L DOB Drivers Lic. #K4kd,},� 7-,,' 4E!LL DOB PARCEL INFORMATION - 12 Digit Parcel No 3z �•3 3Z 130 Fire District ❑ Is property flagged or addressed prior to inspection? 19e- / No 4+� 2�ow Site Address (Please include street name, street number and city) �� ldu-L bi�c.c° Directions to site Will timber be cut and sold in parcel preparations es Is property within 200' of Saltwater River/Creek Pond Wetland Seasonal Runoff ream Slopes or Bluffs > 15% The person in charge of the fire may be liable for the cost of fire supression if the fire gets out of control or if it becomes necessary to extinguish the fire as a result of enforcement action. Open burning shall be prohibited during any period of impaired air quality as designated by the Olympic Region Clean Air Agency, or during extreme fire danger due to dry weather conditions as designated by the Mason County Fire Marshal's Office.Information hotline(360)427-7799 Is this permit submittal the result of a Stop Work Notice, Correction Notice or other enforcement action? Yes/No Burning is authorized subject to the following conditions: slid permit must be on site while burning Prohibited materials.the following must not be burned: Garbage,dead animals,asphalt, petroleum products, paints, rubber products, plastics, paper, cardboard,treated wood, construction/demolition debris, metal, or any substance(other than natural vegetation)that normally releases toxic emissions,dense smoke,or obnoxious odors when burned. All materials must originate from the property on which the burning is to occur. 13 The fire must not create a nuisance from smoke,obscure visibility on public roads and highways,or endanger life and property. -gMaximum pile size is twenty(20)feet in diameter, a minimum ten(10)feet firebreak must be constructed around each pile. �]Each pile must be at least one hundred(100)feet from any structure,at least fifty(50)feet from standing timber. [!a Do not burn if wind is blowing more than seven(7)miles per hour. Do not burn if wind is blowing from (direction) A responsible adult and equipment shall be required to be on site and in attendance at the fire while burning. ❑On site water required: DYes M No 13 Provide EXCAVATOR/DOZER with a fire extinguisher at the site with a qualified operator. 13 Provide 24 hour fire watch. 13 Fire must be completely extinguished within three(3)days after ignition. ❑ Fan required ❑Other- ❑Upon completion of above conditions,applicant must call(360)427-9670 Ext.459 for inspection prior to burning OWNER/CONTRACTOR Acknowledges submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below. I declare that I am the owner,owners legal representative,or the contractor. I further declare that I am entitled to receive this permit and to do the work as proposed in the application. I declare that I have obtained the permission from all the neces- sary parties. If permission is required from any easement holder or any other party in interest regarding this application or the work proposed in the application, I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf, represents that the information provided is accurate and grants employees of Mason County access to the above described property for review and inspection. is permit/application becomes null and void if work is not completed within 30 days. Permit includes two (2) inspections maximum, additiona ms ions will require a fee of sixty four(64)dollars per inspection. X a � ® Date: /6 G1 Owner/Owners Representative/Contractor indicate which one FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Fire Marshal FEES Burn Permit Fee Site Inspection Violation Fee State Fee Pre-Paid at Submittal Other TOTAL FEES 12/31/2009 Conditions Associated With 10:18:06AM Case #: BRN2009-00056 1014 Permit Condition Status Updated item# Code Title Status Changed By Tag Date By 1) 100 POST PERMIT NOT MET 12/31/2009 TW Valid pet be on-site while burning. X 2) 150 PROHIBITED MATERIALS NOT MET 12/31/2009 TW The following materials may not be burned:Garbage,dead animals,asphalt,petroleum products,paints,rubber products,plastics,paper,cardboard,treated wood,construction/demolition debris,metal or any substance (other than natural vegetation)that normally releases toxic emissions,dense smoke or obnoxious odors when burned. X Lk 3) 200 ORIGINATION NOT MET 12/31/2009 TW All mat 'al ust originate from the property on whichthe burning is to occur. X 4) 250 NUISANCE NOT MET 12/31/2009 TW The fire must not create a nuisance from smoke,obscure visibility on public roads and highways or endanger life and pro X 5) 300 MAXIMUM SIZE NOT MET 12/31/2009 TW The maximum pile size is twenty(20)feet in diameter,with a minimum ten(10)feet firebreak around each pile. X 6) 350 DISTANCE FROM STRUCTURES NOT MET 12/31/2009 TW Each pile must be at least one hundred(100)feet from any structure and atleast fifty(50)feet from standing timber. X 7) 400 HIGH WIND NOT MET 12/31/2009 TW Do not b rn ' wind is blowing more than seven(7)MPH. X 8) 450 WIND DIRECTION NOT MET 12/31/2009 TW Do not ur ' wind is blowing from XX direction. X 9) 500 MINIMUM PEOPLE NOT MET 12/31/2009 TW The eople required to be in attendance at the fire while burning: XX X mini p 10) 600 EXCAVATOR/DOZER NOT MET 12/31/2009 TW Provide Er tor/dozer with a fire extinguisher at the site with a qualified operator. X 1 1) 650 24 HOUR FIRE WATCH NOT MET 12/31/2009 TW Provide -hour fire watch. X 12) 700 EXTINGUISH FIRE NOT MET 12/31/2009 TW Fire must ompletely extinguished within three(3)days after ignition. X 13) 750 FAN NOT MET 12/31/2009 TW Fan is re 're X LY,- Page I of I CaseConditions_rpt ArclMS Viewer http://mapmason.co.mason.wa.us/website/mason/MapFrame.htm r HOOD CANAL 6:f _• !', -J- Yy a , x t�ti. her2e� e�v�E�yeti - ..ev,-�rn� , P'-'40�1 ; 90 v� rf +ui"A7, e a d 4-� Q 1 of 1 11/26/2007 1:40 PIvi J � t . SI t�c) 'k c(}V1 vw, T., ��e